The correct order of actions in the management of the postoperative surgical trauma patient who has been admitted to the critical care unit after surgery is: _______________, _______________, _______________,_______________

(Put a comma and space between each answer choice.) a. Connect the patient to bedside monitor and mechanical ventilator.
b. Obtain vital signs, rhythm, oxygen saturation, and neurological status.
c. Assess airway, breathing, and circulation.
d. Reassess and evaluate patency of IV lines, and adjust rate of fluid administration as ordered.


C, A, B, D
The initial intervention upon admission to the critical care unit is a rapid assessment of airway, breathing, and circulation. The nurse quickly connects the patient to the bedside monitor and ventilator, and completes an assessment of vital signs, cardiac rhythm, pulse oximetry reading, level of consciousness, and pupil reactivity. The nurse reassesses IV access and evaluates the patency of IV catheters, because they may have become dislodged during transport. Calculation of medication dosages and rates is completed as part of the initial assessment. Once the assessment and initial interventions have been completed, the family is contacted to see the patient.

Nursing

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1. Decision-making framework used by nurses to determine the needs of patients. 2. Decision-making framework used by social workers when discharging patients. 3. Decision-making framework used by nursing assistants when caring for patients. 4. Decision-making framework used by physicians to determine the needs of patients.

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When the client receiving an oxytocin (Pitocin) drip at 16 mU/min develops hypertonic stimulation, FHR 138 bpm with accelerations, and no decelerations, the nurse's best response would be to:

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A nurse is implementing a secondary prevention intervention. Which of the following is most likely being completed?

a. Developing policies and procedures for referral programs b. Designing protocols for lead screening c. Serving as a chair to organize a smallpox vaccination program d. Monitoring implementation of perfor-mance-improvement activities

Nursing

Mark is a new graduate. He was hired onto an oncology nursing unit at the local hospital. He has discovered that the knowledge, skills, and values he learned in his nursing program vary greatly from those he has seen demonstrated in the workplace

Mark is experiencing __________. a. honeymoon b. reality shock c. recovery d. transition

Nursing